Provider Demographics
NPI:1740775923
Name:WOEHRMANN, DEBORAH ELISABETH (LMT, MED, MFA, BA)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ELISABETH
Last Name:WOEHRMANN
Suffix:
Gender:F
Credentials:LMT, MED, MFA, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 NE CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-2708
Mailing Address - Country:US
Mailing Address - Phone:503-757-4738
Mailing Address - Fax:
Practice Address - Street 1:3808 N WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1467
Practice Address - Country:US
Practice Address - Phone:503-757-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR22315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist